The Treatment of Comorbid Attention-Deficit Disorder and Tourette’s Syndrome

Brown, Laurie A.; Dure, Leon S.

doi:10.1201/b14236-23

Cited by 4 publications

(1 citation statement)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition, CTD follow a largely remitting course and have a limited impact on the course and outcome of individuals with ADHD across the life cycle (Spencer, Biederman, Faraone et al, 2001b). Furthermore, the mental effort required to suppress tics may accentuate inattention in ADHD (Brown & Dure, 2005) and attentional problems are negatively correlated with the ability to suppress tics (Himle & Woods, 2005) and positively with the severity of CTD (Cardona et al, 2004). Nevertheless, it was shown that the CTD diagnosis contributed to internalizing psychopathology in a similar way as ADHD.…”

Section: Discussionmentioning

confidence: 95%

Psychopathological Profile in Children with Chronic Tic Disorder and Co-existing ADHD: Additive Effects

Roessner

Becker

Banaschewski

et al. 2006

J Abnorm Child Psychol

View full text Add to dashboard Cite

The nature of the co-occurrence of chronic tic disorders (CTD) and attention deficit hyperactivity disorder (ADHD) is unclear. Especially in the field of psychopathology, the relationship of CTD and ADHD remains to be clarified. Thus, the aim of the present chart review study was to specify the contribution of CTD and/or ADHD to the psychopathological profile of the comorbid group (CTD+ADHD). The psychopathological profiles of four large groups (CTD-only (n=112), CTD+ADHD (n=82), ADHD-only (n=129), controls (n=144)) were measured by the eight subscales of the Child Behavior Checklist (CBCL) and analyzed by a 2x2 factorial design followed by contrasts. There were main effects of ADHD diagnosis on all but one subscale of the CBCL (Somatic Complaints). For CTD diagnosis, main effects were found for Attention Problems, Anxious/Depressed, Thought Problems, Social Problems and Somatic Complaints. The only interaction effect was seen for Somatic Complaints. While CTD and ADHD were both related to internalizing psychopathology of children in the CTD+ADHD group, ADHD had the largest effect on externalizing psychopathology in the comorbid group. At the level of psychopathology, an additive model for the co-occurrence of CTD and ADHD is strongly supported. In the comorbid group (CTD+ADHD), the ADHD diagnosis shows the strongest relation to externalizing psychopathology.

show abstract

Section: Discussionmentioning

confidence: 95%

Psychopathological Profile in Children with Chronic Tic Disorder and Co-existing ADHD: Additive Effects

Roessner

Becker

Banaschewski

et al. 2006

J Abnorm Child Psychol

View full text Add to dashboard Cite

show abstract

The Phenomenology of Attention-Deficit/Hyperactivity Disorder in Tourette Syndrome

Rothenberger¹,

Roessner²

2022

Tourette Syndrome

View full text Add to dashboard Cite

This chapter focuses on the complex epidemiological and phenomenological aspects of attention-deficit/hyperactivity disorder (ADHD) in Tourette syndrome (TS). Research on this topic is relatively recent and elucidated the high importance of comorbidity in TS and the need for an early assessment of ADHD in TS. Several observational studies have confirmed that ADHD is the most common comorbidity in TS, possibly anticipating TS onset and influencing the male gender predominance of TS. ADHD exerts a negative impact on externalizing and internalizing symptoms, as well as on psychosocial functioning and quality of life in TS. The impact of comorbid ADHD upon sleep disturbances in TS remain a neglected issue. Approaches to model the coexistence of TS and ADHD are still ongoing. Whereas basic neurobiological aspects fit with an additive model, complex cognitive functioning supports an interactive model. Specific pathophysiological features for TS plus ADHD have not yet been identified, but common heritability between TS and ADHD might be explained, at least in part, by the comorbidity of ADHD and obsessive–compulsive disorder. Future studies on the phenomenology of TS plus ADHD should consider not only the core symptoms of TS and ADHD but also obsessive–compulsive behavior traits, emotional aspects, neuropsychological aspects, quality of life, early risk factors, resilience, and other possible mediators and moderators.

show abstract

The Phenomenology of Attention-Deficit/Hyperactivity Disorder in Tourette Syndrome

Rothenberger¹,

Roessner²

2013

Tourette Syndrome

View full text Add to dashboard Cite

This chapter focuses on the complex epidemiological and phenomenological aspects of attention-deficit/hyperactivity disorder (ADHD) in Tourette syndrome (TS). Research on this topic is relatively recent and has elucidated the importance of comorbidity in TS and the need for an early assessment for ADHD in TS. Several observational studies confirmed that ADHD is the most common comorbidity in TS (present in about 60% of cases), possibly anticipating TS onset and influencing the male gender predominance of TS. ADHD exerts a negative impact on externalizing and internalizing symptoms as well as on psychosocial functioning and quality of life in TS. The impact of comorbid ADHD upon sleep disturbances in TS remains a neglected issue. Approaches to model the coexistence of TS and ADHD are ongoing. Whereas basic neurobiological aspects fit with an additive model, complex cognitive functioning supports an interactive model. Specific pathophysiological features for TS plus ADHD have not yet been identified, but common heritability between TS and ADHD might be explained, at least in part, by the comorbidity of ADHD and OCD. Future studies on the phenomenology of TS plus ADHD should consider not only the core symptoms of TS and ADHD, but also obsessive-compulsive traits, emotional aspects, neuropsychological aspects, quality of life, early risk factors, resilience, and other possible mediators and moderators.

show abstract

The Treatment of Comorbid Attention-Deficit Disorder and Tourette’s Syndrome

Cited by 4 publications

References 30 publications

Psychopathological Profile in Children with Chronic Tic Disorder and Co-existing ADHD: Additive Effects

Psychopathological Profile in Children with Chronic Tic Disorder and Co-existing ADHD: Additive Effects

The Phenomenology of Attention-Deficit/Hyperactivity Disorder in Tourette Syndrome

The Phenomenology of Attention-Deficit/Hyperactivity Disorder in Tourette Syndrome

Contact Info

Product

Resources

About